SGMC Health - Main — Hospital Prices & Charges

Procedures published 770

Lowest published price —

Average published price —

Highest published price —

Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.

Procedures with negotiated rates only

These 770 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.

DRG	Description	Insurance rate range	Payers
741	UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC	$9,305 – $15,215 · median $13,000	5 plans
742	UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC	$11,442 – $18,711 · median $14,393	5 plans
743	UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	$8,335 – $13,629 · median $12,581	5 plans
001	HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC	$148,427 – $242,710 · median $205,370	4 plans
002	HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC	$61,117 – $99,940 · median $84,565	4 plans
003	ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES	$112,865 – $184,560 · median $156,166	4 plans
004	TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES	$74,296 – $121,491 · median $102,800	4 plans
005	LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT	$55,775 – $91,205 · median $77,173	4 plans
006	LIVER TRANSPLANT WITHOUT MCC	$26,099 – $42,678 · median $36,112	4 plans
007	LUNG TRANSPLANT	$69,582 – $113,782 · median $96,277	4 plans
008	SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT	$31,161 – $50,954 · median $43,115	4 plans
010	PANCREAS TRANSPLANT	$39,378 – $64,392 · median $54,486	4 plans
011	TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC	$30,373 – $49,667 · median $42,026	4 plans
012	TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC	$23,897 – $39,077 · median $33,066	4 plans
013	TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC	$16,919 – $27,666 · median $23,410	4 plans
014	ALLOGENEIC BONE MARROW TRANSPLANT	$64,706 – $105,808 · median $89,530	4 plans
016	AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC	$32,861 – $53,735 · median $45,468	4 plans
017	AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC	$30,259 – $49,481 · median $41,868	4 plans
018	CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES	$227,717 – $372,367 · median $315,079	4 plans
019	SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS	$39,163 – $64,041 · median $54,188	4 plans
020	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC	$43,004 – $70,320 · median $59,502	4 plans
021	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC	$29,535 – $48,296 · median $40,866	4 plans
022	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC	$18,465 – $30,194 · median $25,549	4 plans
023	CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR	$31,818 – $52,030 · median $44,025	4 plans
024	CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC	$22,307 – $36,476 · median $30,865	4 plans
025	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC	$25,627 – $41,906 · median $35,459	4 plans
026	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC	$18,108 – $29,611 · median $25,055	4 plans
027	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC	$15,041 – $24,596 · median $20,812	4 plans
028	SPINAL PROCEDURES WITH MCC	$33,272 – $54,407 · median $46,037	4 plans
029	SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS	$19,690 – $32,197 · median $27,244	4 plans
030	SPINAL PROCEDURES WITHOUT CC/MCC	$13,327 – $21,793 · median $18,440	4 plans
031	VENTRICULAR SHUNT PROCEDURES WITH MCC	$25,281 – $41,340 · median $34,980	4 plans
032	VENTRICULAR SHUNT PROCEDURES WITH CC	$12,992 – $21,244 · median $17,976	4 plans
033	VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC	$10,543 – $17,240 · median $14,588	4 plans
034	CAROTID ARTERY STENT PROCEDURES WITH MCC	$22,091 – $36,124 · median $30,567	4 plans
035	CAROTID ARTERY STENT PROCEDURES WITH CC	$14,349 – $23,464 · median $19,854	4 plans
036	CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC	$12,007 – $19,634 · median $16,614	4 plans
037	EXTRACRANIAL PROCEDURES WITH MCC	$19,065 – $31,175 · median $26,379	4 plans
038	EXTRACRANIAL PROCEDURES WITH CC	$10,332 – $16,896 · median $14,296	4 plans
039	EXTRACRANIAL PROCEDURES WITHOUT CC/MCC	$7,994 – $13,072 · median $11,061	4 plans
040	PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC	$22,042 – $36,043 · median $30,498	4 plans
041	PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR	$13,346 – $21,823 · median $18,466	4 plans
042	PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC	$10,882 – $17,795 · median $15,057	4 plans
052	SPINAL DISORDERS AND INJURIES WITH CC/MCC	$11,319 – $18,510 · median $15,662	4 plans
053	SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC	$6,967 – $11,393 · median $9,640	4 plans
054	NERVOUS SYSTEM NEOPLASMS WITH MCC	$9,832 – $16,077 · median $13,604	4 plans
055	NERVOUS SYSTEM NEOPLASMS WITHOUT MCC	$7,178 – $11,738 · median $9,932	4 plans
056	DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC	$13,996 – $22,887 · median $19,366	4 plans
057	DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC	$8,622 – $14,099 · median $11,930	4 plans
058	MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC	$10,787 – $17,639 · median $14,925	4 plans
059	MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC	$8,336 – $13,631 · median $11,534	4 plans
060	MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC	$6,656 – $10,885 · median $9,210	4 plans
061	ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC	$16,266 – $26,599 · median $22,507	4 plans
062	ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC	$11,036 – $18,047 · median $15,271	4 plans
063	ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC	$9,188 – $15,024 · median $12,713	4 plans
064	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC	$12,364 – $20,218 · median $17,107	4 plans
065	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS	$7,130 – $11,659 · median $9,865	4 plans
066	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC	$5,425 – $8,871 · median $7,506	4 plans
067	PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC	$9,527 – $15,579 · median $13,183	4 plans
068	PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC	$6,367 – $10,411 · median $8,809	4 plans
069	TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC	$6,023 – $9,850 · median $8,334	4 plans
070	OTHER CEREBROVASCULAR DISORDERS WITH MCC	$10,553 – $17,257 · median $14,602	4 plans
071	OTHER CEREBROVASCULAR DISORDERS WITH CC	$7,212 – $11,793 · median $9,979	4 plans
072	OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC	$5,801 – $9,485 · median $8,026	4 plans
073	CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC	$10,237 – $16,739 · median $14,164	4 plans
074	CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC	$7,237 – $11,834 · median $10,013	4 plans
075	VIRAL MENINGITIS WITH CC/MCC	$11,875 – $19,418 · median $16,431	4 plans
076	VIRAL MENINGITIS WITHOUT CC/MCC	$6,162 – $10,075 · median $8,525	4 plans
080	NONTRAUMATIC STUPOR AND COMA WITH MCC	$11,313 – $18,499 · median $15,653	4 plans
081	NONTRAUMATIC STUPOR AND COMA WITHOUT MCC	$6,530 – $10,678 · median $9,035	4 plans
082	TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC	$13,800 – $22,566 · median $19,095	4 plans
083	TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC	$9,146 – $14,956 · median $12,655	4 plans
084	TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC	$6,845 – $11,192 · median $9,471	4 plans
085	TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC	$13,729 – $22,449 · median $18,996	4 plans
086	TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC	$8,659 – $14,160 · median $11,981	4 plans
087	TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC	$6,630 – $10,841 · median $9,173	4 plans
088	CONCUSSION WITH MCC	$8,916 – $14,580 · median $12,337	4 plans
089	CONCUSSION WITH CC	$7,592 – $12,414 · median $10,504	4 plans
090	CONCUSSION WITHOUT CC/MCC	$6,151 – $10,058 · median $8,511	4 plans
091	OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC	$11,031 – $18,038 · median $15,263	4 plans
092	OTHER DISORDERS OF NERVOUS SYSTEM WITH CC	$7,196 – $11,767 · median $9,957	4 plans
093	OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC	$6,010 – $9,828 · median $8,316	4 plans
094	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC	$20,254 – $33,119 · median $28,024	4 plans
095	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC	$15,336 – $25,078 · median $21,220	4 plans
096	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC	$15,336 – $25,078 · median $21,220	4 plans
097	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC	$20,737 – $33,910 · median $28,693	4 plans
098	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC	$13,849 – $22,646 · median $19,162	4 plans
099	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC	$8,971 – $14,670 · median $12,413	4 plans
100	SEIZURES WITH MCC	$11,976 – $19,583 · median $16,570	4 plans
101	SEIZURES WITHOUT MCC	$6,566 – $10,737 · median $9,086	4 plans
102	HEADACHES WITH MCC	$7,708 – $12,605 · median $10,665	4 plans
103	HEADACHES WITHOUT MCC	$6,220 – $10,170 · median $8,606	4 plans
113	ORBITAL PROCEDURES WITH CC/MCC	$14,143 – $23,127 · median $19,569	4 plans
114	ORBITAL PROCEDURES WITHOUT CC/MCC	$8,922 – $14,590 · median $12,345	4 plans
115	EXTRAOCULAR PROCEDURES EXCEPT ORBIT	$9,874 – $16,146 · median $13,662	4 plans
116	INTRAOCULAR PROCEDURES WITH CC/MCC	$11,303 – $18,482 · median $15,639	4 plans
117	INTRAOCULAR PROCEDURES WITHOUT CC/MCC	$7,520 – $12,297 · median $10,405	4 plans
121	ACUTE MAJOR EYE INFECTIONS WITH CC/MCC	$7,930 – $12,967 · median $10,972	4 plans
122	ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC	$5,955 – $9,738 · median $8,240	4 plans
123	NEUROLOGICAL EYE DISORDERS	$6,022 – $9,848 · median $8,333	4 plans
124	OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT	$8,766 – $14,334 · median $12,129	4 plans
125	OTHER DISORDERS OF THE EYE WITHOUT MCC	$5,861 – $9,584 · median $8,110	4 plans
135	SINUS AND MASTOID PROCEDURES WITH CC/MCC	$13,196 – $21,578 · median $18,258	4 plans
136	SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC	$7,156 – $11,701 · median $9,901	4 plans
137	MOUTH PROCEDURES WITH CC/MCC	$9,656 – $15,789 · median $13,360	4 plans
138	MOUTH PROCEDURES WITHOUT CC/MCC	$6,481 – $10,597 · median $8,967	4 plans
139	SALIVARY GLAND PROCEDURES	$8,309 – $13,587 · median $11,496	4 plans
140	MAJOR HEAD AND NECK PROCEDURES WITH MCC	$24,155 – $39,499 · median $33,422	4 plans
141	MAJOR HEAD AND NECK PROCEDURES WITH CC	$13,254 – $21,673 · median $18,338	4 plans
142	MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC	$10,195 – $16,672 · median $14,107	4 plans
143	OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC	$21,442 – $35,063 · median $29,668	4 plans
144	OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC	$10,909 – $17,839 · median $15,095	4 plans
145	OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC	$8,134 – $13,301 · median $11,255	4 plans
146	EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC	$12,920 – $21,128 · median $17,877	4 plans
147	EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC	$8,496 – $13,893 · median $11,755	4 plans
148	EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC	$6,015 – $9,835 · median $8,322	4 plans
149	DYSEQUILIBRIUM	$5,777 – $9,446 · median $7,993	4 plans
150	EPISTAXIS WITH MCC	$8,810 – $14,406 · median $12,190	4 plans
151	EPISTAXIS WITHOUT MCC	$5,684 – $9,295 · median $7,865	4 plans
152	OTITIS MEDIA AND URI WITH MCC	$8,029 – $13,129 · median $11,109	4 plans
153	OTITIS MEDIA AND URI WITHOUT MCC	$5,706 – $9,331 · median $7,896	4 plans
154	OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC	$10,023 – $16,390 · median $13,869	4 plans
155	OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC	$6,639 – $10,856 · median $9,186	4 plans
156	OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC	$5,460 – $8,928 · median $7,555	4 plans
157	DENTAL AND ORAL DISEASES WITH MCC	$10,825 – $17,701 · median $14,978	4 plans
158	DENTAL AND ORAL DISEASES WITH CC	$6,604 – $10,799 · median $9,138	4 plans
159	DENTAL AND ORAL DISEASES WITHOUT CC/MCC	$5,551 – $9,077 · median $7,681	4 plans
163	MAJOR CHEST PROCEDURES WITH MCC	$25,288 – $41,351 · median $34,989	4 plans
164	MAJOR CHEST PROCEDURES WITH CC	$15,047 – $24,606 · median $20,820	4 plans
165	MAJOR CHEST PROCEDURES WITHOUT CC/MCC	$11,858 – $19,390 · median $16,407	4 plans
166	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC	$21,396 – $34,986 · median $29,604	4 plans
167	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC	$11,278 – $18,442 · median $15,605	4 plans
168	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	$8,992 – $14,704 · median $12,442	4 plans
173	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM	$17,414 – $28,475 · median $24,094	4 plans
175	PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE	$9,030 – $14,766 · median $12,494	4 plans
176	PULMONARY EMBOLISM WITHOUT MCC	$6,056 – $9,903 · median $8,379	4 plans
177	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC	$10,019 – $16,383 · median $13,863	4 plans
178	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC	$6,950 – $11,365 · median $9,617	4 plans
179	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC	$5,794 – $9,475 · median $8,017	4 plans
180	RESPIRATORY NEOPLASMS WITH MCC	$11,082 – $18,122 · median $15,334	4 plans
181	RESPIRATORY NEOPLASMS WITH CC	$7,447 – $12,178 · median $10,304	4 plans
182	RESPIRATORY NEOPLASMS WITHOUT CC/MCC	$5,788 – $9,465 · median $8,009	4 plans
183	MAJOR CHEST TRAUMA WITH MCC	$9,848 – $16,103 · median $13,625	4 plans
184	MAJOR CHEST TRAUMA WITH CC	$7,411 – $12,119 · median $10,254	4 plans
185	MAJOR CHEST TRAUMA WITHOUT CC/MCC	$5,959 – $9,744 · median $8,245	4 plans
186	PLEURAL EFFUSION WITH MCC	$9,997 – $16,347 · median $13,832	4 plans
187	PLEURAL EFFUSION WITH CC	$7,019 – $11,477 · median $9,712	4 plans
188	PLEURAL EFFUSION WITHOUT CC/MCC	$5,597 – $9,152 · median $7,744	4 plans
189	PULMONARY EDEMA AND RESPIRATORY FAILURE	$8,307 – $13,584 · median $11,494	4 plans
190	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC	$7,639 – $12,492 · median $10,570	4 plans
191	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC	$6,255 – $10,228 · median $8,654	4 plans
192	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC	$5,203 – $8,509 · median $7,200	4 plans
193	SIMPLE PNEUMONIA AND PLEURISY WITH MCC	$8,720 – $14,260 · median $12,066	4 plans
194	SIMPLE PNEUMONIA AND PLEURISY WITH CC	$6,061 – $9,910 · median $8,386	4 plans
195	SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC	$5,133 – $8,393 · median $7,102	4 plans
196	INTERSTITIAL LUNG DISEASE WITH MCC	$11,716 – $19,159 · median $16,211	4 plans
197	INTERSTITIAL LUNG DISEASE WITH CC	$6,810 – $11,135 · median $9,422	4 plans
198	INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC	$5,591 – $9,143 · median $7,737	4 plans
199	PNEUMOTHORAX WITH MCC	$11,073 – $18,106 · median $15,320	4 plans
200	PNEUMOTHORAX WITH CC	$7,595 – $12,420 · median $10,509	4 plans
201	PNEUMOTHORAX WITHOUT CC/MCC	$5,586 – $9,134 · median $7,729	4 plans
202	BRONCHITIS AND ASTHMA WITH CC/MCC	$6,925 – $11,324 · median $9,582	4 plans
203	BRONCHITIS AND ASTHMA WITHOUT CC/MCC	$5,350 – $8,748 · median $7,402	4 plans
204	RESPIRATORY SIGNS AND SYMPTOMS	$6,068 – $9,923 · median $8,397	4 plans
205	OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC	$11,422 – $18,678 · median $15,805	4 plans
206	OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC	$6,768 – $11,067 · median $9,364	4 plans
207	RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS	$35,502 – $58,054 · median $49,123	4 plans
208	RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS	$16,223 – $26,527 · median $22,446	4 plans
209	COMPLEX AORTIC ARCH PROCEDURES	$61,049 – $99,829 · median $84,471	4 plans
212	CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES	$58,723 – $96,025 · median $81,252	4 plans
213	ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES	$31,696 – $51,829 · median $43,856	4 plans
215	OTHER HEART ASSIST SYSTEM IMPLANT	$53,926 – $88,181 · median $74,615	4 plans
216	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	$53,015 – $86,691 · median $73,354	4 plans
217	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC	$36,238 – $59,257 · median $50,140	4 plans
218	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC	$36,238 – $59,257 · median $50,140	4 plans
219	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC	$42,007 – $68,691 · median $58,123	4 plans
220	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC	$29,739 – $48,630 · median $41,148	4 plans
221	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC	$28,208 – $46,127 · median $39,031	4 plans
228	OTHER CARDIOTHORACIC PROCEDURES WITH MCC	$27,723 – $45,333 · median $38,359	4 plans
229	OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC	$18,319 – $29,956 · median $25,347	4 plans
231	CORONARY BYPASS WITH PTCA WITH MCC	$45,939 – $75,120 · median $63,563	4 plans
232	CORONARY BYPASS WITH PTCA WITHOUT MCC	$33,556 – $54,872 · median $46,430	4 plans
233	CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC	$41,834 – $68,408 · median $57,884	4 plans
234	CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC	$30,418 – $49,741 · median $42,088	4 plans
235	CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC	$32,541 – $53,212 · median $45,026	4 plans
236	CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC	$23,755 – $38,845 · median $32,869	4 plans
239	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC	$27,589 – $45,113 · median $38,173	4 plans
240	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC	$16,755 – $27,398 · median $23,183	4 plans
241	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC	$9,086 – $14,858 · median $12,572	4 plans
242	PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC	$18,545 – $30,326 · median $25,660	4 plans
243	PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC	$12,991 – $21,243 · median $17,975	4 plans
244	PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC	$11,300 – $18,477 · median $15,635	4 plans
245	AICD GENERATOR PROCEDURES	$25,709 – $42,040 · median $35,573	4 plans
250	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC	$13,261 – $21,685 · median $18,349	4 plans
251	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC	$9,662 – $15,800 · median $13,369	4 plans
252	OTHER VASCULAR PROCEDURES WITH MCC	$20,091 – $32,853 · median $27,799	4 plans
253	OTHER VASCULAR PROCEDURES WITH CC	$15,422 – $25,218 · median $21,338	4 plans
254	OTHER VASCULAR PROCEDURES WITHOUT CC/MCC	$11,165 – $18,257 · median $15,448	4 plans
255	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC	$15,954 – $26,089 · median $22,075	4 plans
256	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC	$10,726 – $17,540 · median $14,841	4 plans
257	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC	$7,558 – $12,359 · median $10,458	4 plans
258	CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC	$18,280 – $29,892 · median $25,293	4 plans
259	CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC	$12,422 – $20,313 · median $17,188	4 plans
260	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC	$18,859 – $30,839 · median $26,095	4 plans
261	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC	$11,734 – $19,187 · median $16,235	4 plans
262	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC	$10,371 – $16,958 · median $14,349	4 plans
263	VEIN LIGATION AND STRIPPING	$17,837 – $29,168 · median $24,680	4 plans
264	OTHER CIRCULATORY SYSTEM O.R. PROCEDURES	$19,319 – $31,590 · median $26,730	4 plans
265	AICD LEAD PROCEDURES	$20,771 – $33,964 · median $28,739	4 plans
266	ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC	$33,900 – $55,435 · median $46,906	4 plans
267	ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC	$26,747 – $43,737 · median $37,008	4 plans
268	AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC	$37,821 – $61,845 · median $52,330	4 plans
269	AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC	$23,935 – $39,139 · median $33,118	4 plans
270	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC	$29,443 – $48,146 · median $40,739	4 plans
271	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC	$20,447 – $33,435 · median $28,291	4 plans
272	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC	$15,199 – $24,854 · median $21,030	4 plans
273	PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC	$23,424 – $38,303 · median $32,411	4 plans
274	PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC	$19,063 – $31,172 · median $26,376	4 plans
275	CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC	$39,141 – $64,005 · median $54,158	4 plans
276	CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR	$33,263 – $54,393 · median $46,025	4 plans
277	CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC	$26,003 – $42,520 · median $35,979	4 plans
278	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC	$30,960 – $50,626 · median $42,837	4 plans
279	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC	$20,709 – $33,863 · median $28,654	4 plans
280	ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC	$10,236 – $16,737 · median $14,162	4 plans
281	ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC	$6,653 – $10,879 · median $9,205	4 plans
282	ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC	$5,627 – $9,202 · median $7,786	4 plans
283	ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC	$12,206 – $19,959 · median $16,889	4 plans
284	ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC	$5,466 – $8,938 · median $7,563	4 plans
285	ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC	$4,978 – $8,140 · median $6,888	4 plans
286	CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC	$13,419 – $21,944 · median $18,568	4 plans
287	CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC	$7,442 – $12,170 · median $10,298	4 plans
288	ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC	$16,000 – $26,164 · median $22,139	4 plans
289	ACUTE AND SUBACUTE ENDOCARDITIS WITH CC	$10,773 – $17,617 · median $14,906	4 plans
290	ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC	$6,708 – $10,969 · median $9,282	4 plans
291	HEART FAILURE AND SHOCK WITH MCC	$8,560 – $13,998 · median $11,844	4 plans
292	HEART FAILURE AND SHOCK WITH CC	$6,286 – $10,279 · median $8,698	4 plans
293	HEART FAILURE AND SHOCK WITHOUT CC/MCC	$4,806 – $7,858 · median $6,649	4 plans
296	CARDIAC ARREST, UNEXPLAINED WITH MCC	$10,015 – $16,377 · median $13,857	4 plans
297	CARDIAC ARREST, UNEXPLAINED WITH CC	$5,161 – $8,440 · median $7,142	4 plans
298	CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC	$4,226 – $6,910 · median $5,847	4 plans
299	PERIPHERAL VASCULAR DISORDERS WITH MCC	$10,385 – $16,982 · median $14,369	4 plans
300	PERIPHERAL VASCULAR DISORDERS WITH CC	$7,429 – $12,148 · median $10,279	4 plans
301	PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC	$5,610 – $9,173 · median $7,762	4 plans
302	ATHEROSCLEROSIS WITH MCC	$8,104 – $13,252 · median $11,213	4 plans
303	ATHEROSCLEROSIS WITHOUT MCC	$5,366 – $8,775 · median $7,425	4 plans
304	HYPERTENSION WITH MCC	$8,070 – $13,196 · median $11,166	4 plans
305	HYPERTENSION WITHOUT MCC	$5,795 – $9,476 · median $8,018	4 plans
306	CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC	$10,088 – $16,495 · median $13,958	4 plans
307	CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC	$6,622 – $10,828 · median $9,162	4 plans
308	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC	$8,143 – $13,315 · median $11,267	4 plans
309	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC	$5,693 – $9,310 · median $7,878	4 plans
310	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC	$4,806 – $7,859 · median $6,650	4 plans
311	ANGINA PECTORIS	$5,517 – $9,021 · median $7,633	4 plans
312	SYNCOPE AND COLLAPSE	$6,404 – $10,472 · median $8,861	4 plans
313	CHEST PAIN	$5,611 – $9,176 · median $7,764	4 plans
314	OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC	$12,752 – $20,852 · median $17,644	4 plans
315	OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC	$6,884 – $11,257 · median $9,525	4 plans
316	OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC	$5,413 – $8,851 · median $7,490	4 plans
317	CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION	$36,820 – $60,208 · median $50,945	4 plans
318	PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE	$14,515 – $23,735 · median $20,083	4 plans
319	OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC	$25,189 – $41,189 · median $34,852	4 plans
320	OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC	$14,426 – $23,590 · median $19,961	4 plans
321	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES	$16,077 – $26,289 · median $22,244	4 plans
322	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC	$11,067 – $18,097 · median $15,313	4 plans
323	CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC	$24,480 – $40,030 · median $33,872	4 plans
324	CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC	$18,327 – $29,968 · median $25,358	4 plans
325	CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE	$18,638 – $30,476 · median $25,788	4 plans
326	STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC	$27,932 – $45,675 · median $38,648	4 plans
327	STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC	$14,630 – $23,923 · median $20,243	4 plans
328	STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC	$10,226 – $16,722 · median $14,149	4 plans
329	MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC	$25,888 – $42,332 · median $35,819	4 plans
330	MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC	$14,384 – $23,521 · median $19,902	4 plans
331	MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC	$10,648 – $17,411 · median $14,733	4 plans
332	RECTAL RESECTION WITH MCC	$20,784 – $33,986 · median $28,757	4 plans
333	RECTAL RESECTION WITH CC	$14,096 – $23,051 · median $19,504	4 plans
334	RECTAL RESECTION WITHOUT CC/MCC	$10,412 – $17,027 · median $14,407	4 plans
335	PERITONEAL ADHESIOLYSIS WITH MCC	$20,523 – $33,560 · median $28,397	4 plans
336	PERITONEAL ADHESIOLYSIS WITH CC	$12,875 – $21,053 · median $17,814	4 plans
337	PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC	$9,874 – $16,146 · median $13,662	4 plans
344	MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC	$15,355 – $25,108 · median $21,246	4 plans
345	MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC	$9,716 – $15,887 · median $13,443	4 plans
346	MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC	$8,050 – $13,163 · median $11,138	4 plans
347	ANAL AND STOMAL PROCEDURES WITH MCC	$13,853 – $22,652 · median $19,167	4 plans
348	ANAL AND STOMAL PROCEDURES WITH CC	$8,691 – $14,212 · median $12,025	4 plans
349	ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC	$6,399 – $10,464 · median $8,854	4 plans
350	INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC	$14,879 – $24,331 · median $20,588	4 plans
351	INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC	$9,819 – $16,057 · median $13,586	4 plans
352	INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC	$7,954 – $13,006 · median $11,005	4 plans
353	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC	$17,024 – $27,839 · median $23,556	4 plans
354	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC	$10,645 – $17,407 · median $14,729	4 plans
355	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC	$8,880 – $14,521 · median $12,287	4 plans
356	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC	$24,822 – $40,590 · median $34,345	4 plans
357	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC	$14,009 – $22,908 · median $19,383	4 plans
358	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	$9,157 – $14,974 · median $12,670	4 plans
359	PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC	$19,831 – $32,428 · median $27,439	4 plans
360	PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC	$14,473 – $23,667 · median $20,026	4 plans
368	MAJOR ESOPHAGEAL DISORDERS WITH MCC	$10,172 – $16,633 · median $14,074	4 plans
369	MAJOR ESOPHAGEAL DISORDERS WITH CC	$7,077 – $11,572 · median $9,792	4 plans
370	MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC	$5,511 – $9,011 · median $7,625	4 plans
371	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC	$11,120 – $18,183 · median $15,386	4 plans
372	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC	$7,186 – $11,750 · median $9,942	4 plans
373	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC	$5,650 – $9,239 · median $7,818	4 plans
374	DIGESTIVE MALIGNANCY WITH MCC	$13,032 – $21,310 · median $18,032	4 plans
375	DIGESTIVE MALIGNANCY WITH CC	$8,172 – $13,363 · median $11,307	4 plans
376	DIGESTIVE MALIGNANCY WITHOUT CC/MCC	$6,680 – $10,923 · median $9,243	4 plans
377	GASTROINTESTINAL HEMORRHAGE WITH MCC	$11,407 – $18,653 · median $15,783	4 plans
378	GASTROINTESTINAL HEMORRHAGE WITH CC	$6,975 – $11,405 · median $9,651	4 plans
379	GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC	$5,143 – $8,409 · median $7,116	4 plans
380	COMPLICATED PEPTIC ULCER WITH MCC	$12,109 – $19,800 · median $16,754	4 plans
381	COMPLICATED PEPTIC ULCER WITH CC	$7,513 – $12,285 · median $10,395	4 plans
382	COMPLICATED PEPTIC ULCER WITHOUT CC/MCC	$6,033 – $9,865 · median $8,347	4 plans
383	UNCOMPLICATED PEPTIC ULCER WITH MCC	$9,067 – $14,827 · median $12,546	4 plans
384	UNCOMPLICATED PEPTIC ULCER WITHOUT MCC	$6,316 – $10,329 · median $8,740	4 plans
385	INFLAMMATORY BOWEL DISEASE WITH MCC	$10,122 – $16,551 · median $14,005	4 plans
386	INFLAMMATORY BOWEL DISEASE WITH CC	$6,952 – $11,368 · median $9,619	4 plans
387	INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC	$5,409 – $8,845 · median $7,484	4 plans
388	GASTROINTESTINAL OBSTRUCTION WITH MCC	$9,570 – $15,649 · median $13,241	4 plans
389	GASTROINTESTINAL OBSTRUCTION WITH CC	$5,976 – $9,773 · median $8,269	4 plans
390	GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC	$4,691 – $7,670 · median $6,490	4 plans
391	ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC	$8,479 – $13,865 · median $11,732	4 plans
392	ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC	$5,923 – $9,685 · median $8,195	4 plans
393	OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC	$10,211 – $16,696 · median $14,128	4 plans
394	OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC	$6,739 – $11,021 · median $9,325	4 plans
395	OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC	$5,240 – $8,568 · median $7,250	4 plans
397	APPENDIX PROCEDURES WITH MCC	$14,372 – $23,501 · median $19,886	4 plans
398	APPENDIX PROCEDURES WITH CC	$9,762 – $15,963 · median $13,508	4 plans
399	APPENDIX PROCEDURES WITHOUT CC/MCC	$7,833 – $12,808 · median $10,838	4 plans
402	SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL	$22,875 – $37,405 · median $31,651	4 plans
405	PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC	$30,459 – $49,807 · median $42,145	4 plans
406	PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC	$17,015 – $27,823 · median $23,543	4 plans
407	PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC	$13,455 – $22,002 · median $18,617	4 plans
408	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC	$20,495 – $33,515 · median $28,358	4 plans
409	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC	$13,234 – $21,640 · median $18,311	4 plans
410	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC	$10,150 – $16,597 · median $14,044	4 plans
411	CHOLECYSTECTOMY WITH C.D.E. WITH MCC	$19,123 – $31,271 · median $26,460	4 plans
412	CHOLECYSTECTOMY WITH C.D.E. WITH CC	$12,843 – $21,000 · median $17,770	4 plans
413	CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC	$10,531 – $17,220 · median $14,571	4 plans
414	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC	$20,480 – $33,489 · median $28,337	4 plans
415	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC	$12,655 – $20,694 · median $17,510	4 plans
416	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC	$8,976 – $14,678 · median $12,420	4 plans
417	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC	$14,328 – $23,429 · median $19,824	4 plans
418	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC	$10,693 – $17,486 · median $14,796	4 plans
419	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC	$8,989 – $14,699 · median $12,438	4 plans
420	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC	$19,666 – $32,159 · median $27,211	4 plans
421	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC	$10,933 – $17,878 · median $15,128	4 plans
422	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC	$9,165 – $14,988 · median $12,682	4 plans
423	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC	$23,568 – $38,539 · median $32,610	4 plans
424	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC	$13,289 – $21,731 · median $18,388	4 plans
425	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC	$9,693 – $15,850 · median $13,411	4 plans
426	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$59,493 – $97,283 · median $82,317	4 plans
427	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC	$39,603 – $64,759 · median $54,796	4 plans
428	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC	$31,252 – $51,103 · median $43,241	4 plans
429	COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC	$48,971 – $80,078 · median $67,758	4 plans
430	COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC	$32,011 – $52,344 · median $44,291	4 plans
432	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC	$12,140 – $19,852 · median $16,798	4 plans
433	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC	$7,370 – $12,051 · median $10,197	4 plans
434	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC	$5,572 – $9,111 · median $7,710	4 plans
435	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC	$11,452 – $18,727 · median $15,846	4 plans
436	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC	$7,762 – $12,692 · median $10,739	4 plans
437	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC	$6,309 – $10,316 · median $8,729	4 plans
438	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC	$10,372 – $16,961 · median $14,351	4 plans
439	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC	$6,245 – $10,212 · median $8,641	4 plans
440	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC	$5,096 – $8,332 · median $7,050	4 plans
441	DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC	$11,233 – $18,368 · median $15,542	4 plans
442	DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC	$6,894 – $11,274 · median $9,539	4 plans
443	DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC	$5,505 – $9,002 · median $7,617	4 plans
444	DISORDERS OF THE BILIARY TRACT WITH MCC	$10,585 – $17,309 · median $14,646	4 plans
445	DISORDERS OF THE BILIARY TRACT WITH CC	$7,570 – $12,378 · median $10,474	4 plans
446	DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC	$6,173 – $10,093 · median $8,541	4 plans
447	MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$36,794 – $60,166 · median $50,910	4 plans
448	MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	$24,027 – $39,290 · median $33,245	4 plans
450	SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$29,722 – $48,602 · median $41,125	4 plans
451	SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	$18,742 – $30,648 · median $25,933	4 plans
456	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC	$45,800 – $74,893 · median $63,371	4 plans
457	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC	$33,036 – $54,021 · median $45,710	4 plans
458	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC	$23,670 – $38,706 · median $32,751	4 plans
461	BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC	$30,734 – $50,256 · median $42,525	4 plans
462	BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC	$15,759 – $25,769 · median $21,804	4 plans
463	WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC	$31,657 – $51,766 · median $43,802	4 plans
464	WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC	$18,137 – $29,658 · median $25,095	4 plans
465	WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$11,384 – $18,616 · median $15,752	4 plans
466	REVISION OF HIP OR KNEE REPLACEMENT WITH MCC	$29,073 – $47,540 · median $40,226	4 plans
467	REVISION OF HIP OR KNEE REPLACEMENT WITH CC	$20,291 – $33,181 · median $28,076	4 plans
468	REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC	$16,219 – $26,521 · median $22,441	4 plans
469	MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT	$17,711 – $28,961 · median $24,505	4 plans
470	MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	$11,935 – $19,516 · median $16,513	4 plans
471	CERVICAL SPINAL FUSION WITH MCC	$27,102 – $44,318 · median $37,500	4 plans
472	CERVICAL SPINAL FUSION WITH CC	$17,255 – $28,216 · median $23,875	4 plans
473	CERVICAL SPINAL FUSION WITHOUT CC/MCC	$14,615 – $23,898 · median $20,222	4 plans
474	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC	$24,300 – $39,735 · median $33,622	4 plans
475	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC	$13,748 – $22,482 · median $19,023	4 plans
476	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$8,018 – $13,112 · median $11,095	4 plans
477	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$19,915 – $32,565 · median $27,555	4 plans
478	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC	$14,708 – $24,051 · median $20,351	4 plans
479	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC	$11,568 – $18,917 · median $16,007	4 plans
480	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC	$17,078 – $27,927 · median $23,630	4 plans
481	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC	$12,801 – $20,932 · median $17,712	4 plans
482	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC	$10,376 – $16,968 · median $14,357	4 plans
483	MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES	$16,344 – $26,726 · median $22,614	4 plans
485	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC	$18,725 – $30,619 · median $25,909	4 plans
486	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC	$12,783 – $20,903 · median $17,687	4 plans
487	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC	$10,037 – $16,413 · median $13,888	4 plans
488	KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC	$11,098 – $18,147 · median $15,355	4 plans
489	KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC	$7,687 – $12,570 · median $10,636	4 plans
492	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC	$21,050 – $34,421 · median $29,126	4 plans
493	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC	$15,111 – $24,709 · median $20,908	4 plans
494	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC	$12,340 – $20,179 · median $17,075	4 plans
495	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC	$20,810 – $34,029 · median $28,793	4 plans
496	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC	$11,281 – $18,446 · median $15,609	4 plans
497	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC	$8,165 – $13,352 · median $11,298	4 plans
498	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC	$17,625 – $28,821 · median $24,387	4 plans
499	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC	$12,384 – $20,250 · median $17,135	4 plans
500	SOFT TISSUE PROCEDURES WITH MCC	$18,399 – $30,086 · median $25,458	4 plans
501	SOFT TISSUE PROCEDURES WITH CC	$10,989 – $17,969 · median $15,205	4 plans
502	SOFT TISSUE PROCEDURES WITHOUT CC/MCC	$8,885 – $14,529 · median $12,294	4 plans
503	FOOT PROCEDURES WITH MCC	$16,444 – $26,890 · median $22,753	4 plans
504	FOOT PROCEDURES WITH CC	$11,622 – $19,005 · median $16,081	4 plans
505	FOOT PROCEDURES WITHOUT CC/MCC	$11,223 – $18,351 · median $15,528	4 plans
506	MAJOR THUMB OR JOINT PROCEDURES	$8,902 – $14,557 · median $12,318	4 plans
507	MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC	$11,294 – $18,468 · median $15,627	4 plans
508	MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC	$9,766 – $15,970 · median $13,513	4 plans
510	SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC	$17,644 – $28,852 · median $24,413	4 plans
511	SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC	$12,722 – $20,803 · median $17,602	4 plans
512	SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC	$10,504 – $17,176 · median $14,534	4 plans
513	HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC	$10,080 – $16,483 · median $13,947	4 plans
514	HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC	$7,192 – $11,761 · median $9,952	4 plans
515	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC	$18,515 – $30,275 · median $25,618	4 plans
516	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC	$12,715 – $20,792 · median $17,593	4 plans
517	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC	$9,883 – $16,161 · median $13,675	4 plans
518	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR	$21,394 – $34,983 · median $29,601	4 plans
519	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC	$12,307 – $20,125 · median $17,029	4 plans
520	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC	$9,659 – $15,795 · median $13,365	4 plans
521	HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC	$16,858 – $27,567 · median $23,326	4 plans
522	HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC	$12,922 – $21,130 · median $17,880	4 plans
533	FRACTURES OF FEMUR WITH MCC	$10,045 – $16,426 · median $13,899	4 plans
534	FRACTURES OF FEMUR WITHOUT MCC	$6,062 – $9,912 · median $8,387	4 plans
535	FRACTURES OF HIP AND PELVIS WITH MCC	$8,551 – $13,983 · median $11,831	4 plans
536	FRACTURES OF HIP AND PELVIS WITHOUT MCC	$6,069 – $9,925 · median $8,398	4 plans
537	SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC	$6,837 – $11,180 · median $9,460	4 plans
538	SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC	$5,613 – $9,178 · median $7,766	4 plans
539	OSTEOMYELITIS WITH MCC	$12,148 – $19,865 · median $16,808	4 plans
540	OSTEOMYELITIS WITH CC	$8,626 – $14,105 · median $11,935	4 plans
541	OSTEOMYELITIS WITHOUT CC/MCC	$5,964 – $9,752 · median $8,252	4 plans
542	PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC	$11,085 – $18,127 · median $15,338	4 plans
543	PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC	$7,222 – $11,810 · median $9,993	4 plans
544	PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC	$5,792 – $9,472 · median $8,014	4 plans
545	CONNECTIVE TISSUE DISORDERS WITH MCC	$14,826 – $24,244 · median $20,514	4 plans
546	CONNECTIVE TISSUE DISORDERS WITH CC	$7,878 – $12,883 · median $10,901	4 plans
547	CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$6,219 – $10,170 · median $8,605	4 plans
548	SEPTIC ARTHRITIS WITH MCC	$11,945 – $19,533 · median $16,528	4 plans
549	SEPTIC ARTHRITIS WITH CC	$8,160 – $13,343 · median $11,290	4 plans
550	SEPTIC ARTHRITIS WITHOUT CC/MCC	$6,417 – $10,494 · median $8,879	4 plans
551	MEDICAL BACK PROBLEMS WITH MCC	$10,612 – $17,353 · median $14,684	4 plans
552	MEDICAL BACK PROBLEMS WITHOUT MCC	$6,873 – $11,240 · median $9,510	4 plans
553	BONE DISEASES AND ARTHROPATHIES WITH MCC	$8,626 – $14,105 · median $11,935	4 plans
554	BONE DISEASES AND ARTHROPATHIES WITHOUT MCC	$6,187 – $10,117 · median $8,561	4 plans
555	SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$8,759 – $14,323 · median $12,119	4 plans
556	SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC	$6,190 – $10,122 · median $8,564	4 plans
557	TENDONITIS, MYOSITIS AND BURSITIS WITH MCC	$9,623 – $15,735 · median $13,314	4 plans
558	TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC	$6,517 – $10,657 · median $9,017	4 plans
559	AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$11,600 – $18,968 · median $16,050	4 plans
560	AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC	$7,735 – $12,649 · median $10,703	4 plans
561	AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC	$6,050 – $9,893 · median $8,371	4 plans
562	FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC	$9,298 – $15,204 · median $12,865	4 plans
563	FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC	$6,529 – $10,677 · median $9,034	4 plans
564	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC	$9,919 – $16,220 · median $13,725	4 plans
565	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC	$6,942 – $11,352 · median $9,605	4 plans
566	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC	$5,765 – $9,426 · median $7,976	4 plans
570	SKIN DEBRIDEMENT WITH MCC	$17,229 – $28,173 · median $23,839	4 plans
571	SKIN DEBRIDEMENT WITH CC	$10,682 – $17,468 · median $14,781	4 plans
572	SKIN DEBRIDEMENT WITHOUT CC/MCC	$7,841 – $12,822 · median $10,849	4 plans
573	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC	$36,113 – $59,053 · median $49,968	4 plans
574	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC	$20,003 – $32,709 · median $27,677	4 plans
575	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC	$11,245 – $18,387 · median $15,559	4 plans
576	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC	$27,481 – $44,938 · median $38,025	4 plans
577	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC	$15,710 – $25,689 · median $21,737	4 plans
578	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC	$10,248 – $16,757 · median $14,179	4 plans
579	OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC	$18,784 – $30,717 · median $25,991	4 plans
580	OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC	$10,884 – $17,797 · median $15,059	4 plans
581	OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC	$9,394 – $15,360 · median $12,997	4 plans
582	MASTECTOMY FOR MALIGNANCY WITH CC/MCC	$11,922 – $19,496 · median $16,497	4 plans
583	MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC	$10,865 – $17,766 · median $15,033	4 plans
584	BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC	$13,042 – $21,327 · median $18,046	4 plans
585	BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC	$11,936 – $19,517 · median $16,515	4 plans
592	SKIN ULCERS WITH MCC	$11,968 – $19,570 · median $16,559	4 plans
593	SKIN ULCERS WITH CC	$8,050 – $13,164 · median $11,139	4 plans
594	SKIN ULCERS WITHOUT CC/MCC	$6,379 – $10,431 · median $8,826	4 plans
595	MAJOR SKIN DISORDERS WITH MCC	$12,938 – $21,156 · median $17,901	4 plans
596	MAJOR SKIN DISORDERS WITHOUT MCC	$7,507 – $12,276 · median $10,388	4 plans
597	MALIGNANT BREAST DISORDERS WITH MCC	$10,565 – $17,276 · median $14,618	4 plans
598	MALIGNANT BREAST DISORDERS WITH CC	$7,763 – $12,694 · median $10,741	4 plans
599	MALIGNANT BREAST DISORDERS WITHOUT CC/MCC	$5,870 – $9,598 · median $8,122	4 plans
600	NON-MALIGNANT BREAST DISORDERS WITH CC/MCC	$7,293 – $11,926 · median $10,092	4 plans
601	NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC	$5,010 – $8,192 · median $6,932	4 plans
602	CELLULITIS WITH MCC	$9,279 – $15,174 · median $12,840	4 plans
603	CELLULITIS WITHOUT MCC	$6,401 – $10,466 · median $8,856	4 plans
604	TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC	$9,545 – $15,608 · median $13,207	4 plans
605	TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC	$6,636 – $10,852 · median $9,183	4 plans
606	MINOR SKIN DISORDERS WITH MCC	$9,760 – $15,960 · median $13,505	4 plans
607	MINOR SKIN DISORDERS WITHOUT MCC	$6,586 – $10,770 · median $9,113	4 plans
614	ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC	$13,310 – $21,764 · median $18,416	4 plans
615	ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC	$9,164 – $14,986 · median $12,680	4 plans
616	AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC	$20,086 – $32,846 · median $27,792	4 plans
617	AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC	$11,628 – $19,014 · median $16,089	4 plans
618	AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC	$9,264 – $15,148 · median $12,818	4 plans
619	O.R. PROCEDURES FOR OBESITY WITH MCC	$16,948 – $27,714 · median $23,450	4 plans
620	O.R. PROCEDURES FOR OBESITY WITH CC	$10,216 – $16,705 · median $14,135	4 plans
621	O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC	$9,735 – $15,919 · median $13,470	4 plans
622	SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC	$20,462 – $33,460 · median $28,312	4 plans
623	SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC	$11,228 – $18,361 · median $15,536	4 plans
624	SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC	$8,393 – $13,725 · median $11,614	4 plans
625	THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC	$17,642 – $28,849 · median $24,410	4 plans
626	THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC	$9,688 – $15,842 · median $13,405	4 plans
627	THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC	$8,793 – $14,379 · median $12,166	4 plans
628	OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC	$21,339 – $34,893 · median $29,525	4 plans
629	OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC	$13,242 – $21,653 · median $18,322	4 plans
630	OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC	$9,479 – $15,501 · median $13,116	4 plans
637	DIABETES WITH MCC	$9,360 – $15,306 · median $12,951	4 plans
638	DIABETES WITH CC	$6,533 – $10,683 · median $9,039	4 plans
639	DIABETES WITHOUT CC/MCC	$5,094 – $8,331 · median $7,049	4 plans
640	MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC	$8,831 – $14,441 · median $12,219	4 plans
641	MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC	$5,916 – $9,673 · median $8,185	4 plans
642	INBORN AND OTHER DISORDERS OF METABOLISM	$9,284 – $15,181 · median $12,845	4 plans
643	ENDOCRINE DISORDERS WITH MCC	$10,455 – $17,097 · median $14,466	4 plans
644	ENDOCRINE DISORDERS WITH CC	$7,207 – $11,784 · median $9,971	4 plans
645	ENDOCRINE DISORDERS WITHOUT CC/MCC	$5,864 – $9,589 · median $8,114	4 plans
650	KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC	$26,436 – $43,229 · median $36,579	4 plans
651	KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC	$21,229 – $34,714 · median $29,373	4 plans
652	KIDNEY TRANSPLANT	$18,737 – $30,640 · median $25,926	4 plans
653	MAJOR BLADDER PROCEDURES WITH MCC	$29,025 – $47,463 · median $40,161	4 plans
654	MAJOR BLADDER PROCEDURES WITH CC	$16,487 – $26,960 · median $22,813	4 plans
655	MAJOR BLADDER PROCEDURES WITHOUT CC/MCC	$12,916 – $21,121 · median $17,872	4 plans
656	KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC	$18,498 – $30,249 · median $25,595	4 plans
657	KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC	$11,417 – $18,670 · median $15,797	4 plans
658	KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC	$9,962 – $16,290 · median $13,784	4 plans
659	KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC	$15,136 – $24,750 · median $20,942	4 plans
660	KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC	$8,758 – $14,322 · median $12,119	4 plans
661	KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC	$7,261 – $11,873 · median $10,047	4 plans
662	MINOR BLADDER PROCEDURES WITH MCC	$17,859 – $29,203 · median $24,710	4 plans
663	MINOR BLADDER PROCEDURES WITH CC	$9,797 – $16,020 · median $13,555	4 plans
664	MINOR BLADDER PROCEDURES WITHOUT CC/MCC	$7,321 – $11,972 · median $10,130	4 plans
665	PROSTATECTOMY WITH MCC	$18,171 – $29,713 · median $25,142	4 plans
666	PROSTATECTOMY WITH CC	$10,995 – $17,979 · median $15,213	4 plans
667	PROSTATECTOMY WITHOUT CC/MCC	$7,631 – $12,479 · median $10,559	4 plans
668	TRANSURETHRAL PROCEDURES WITH MCC	$17,119 – $27,993 · median $23,686	4 plans
669	TRANSURETHRAL PROCEDURES WITH CC	$9,963 – $16,292 · median $13,785	4 plans
670	TRANSURETHRAL PROCEDURES WITHOUT CC/MCC	$6,957 – $11,376 · median $9,626	4 plans
671	URETHRAL PROCEDURES WITH CC/MCC	$11,234 – $18,370 · median $15,544	4 plans
672	URETHRAL PROCEDURES WITHOUT CC/MCC	$7,492 – $12,250 · median $10,366	4 plans
673	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC	$23,822 – $38,954 · median $32,961	4 plans
674	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC	$14,077 – $23,020 · median $19,478	4 plans
675	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC	$10,431 – $17,057 · median $14,432	4 plans
682	RENAL FAILURE WITH MCC	$9,592 – $15,685 · median $13,272	4 plans
683	RENAL FAILURE WITH CC	$6,426 – $10,508 · median $8,892	4 plans
684	RENAL FAILURE WITHOUT CC/MCC	$4,985 – $8,152 · median $6,898	4 plans
686	KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC	$11,280 – $18,445 · median $15,607	4 plans
687	KIDNEY AND URINARY TRACT NEOPLASMS WITH CC	$7,326 – $11,979 · median $10,136	4 plans
688	KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC	$5,979 – $9,777 · median $8,273	4 plans
689	KIDNEY AND URINARY TRACT INFECTIONS WITH MCC	$7,914 – $12,942 · median $10,951	4 plans
690	KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC	$6,079 – $9,941 · median $8,412	4 plans
693	URINARY STONES WITH MCC	$8,878 – $14,517 · median $12,284	4 plans
694	URINARY STONES WITHOUT MCC	$5,934 – $9,703 · median $8,211	4 plans
695	KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC	$7,828 – $12,800 · median $10,831	4 plans
696	KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC	$5,449 – $8,910 · median $7,540	4 plans
697	URETHRAL STRICTURE	$7,483 – $12,236 · median $10,353	4 plans
698	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC	$10,499 – $17,168 · median $14,527	4 plans
699	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC	$7,154 – $11,699 · median $9,899	4 plans
700	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC	$5,454 – $8,918 · median $7,546	4 plans
707	MAJOR MALE PELVIC PROCEDURES WITH CC/MCC	$12,308 – $20,126 · median $17,030	4 plans
708	MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC	$9,870 – $16,140 · median $13,657	4 plans
709	PENIS PROCEDURES WITH CC/MCC	$14,017 – $22,921 · median $19,395	4 plans
710	PENIS PROCEDURES WITHOUT CC/MCC	$9,174 – $15,002 · median $12,694	4 plans
711	TESTES PROCEDURES WITH CC/MCC	$12,745 – $20,840 · median $17,634	4 plans
712	TESTES PROCEDURES WITHOUT CC/MCC	$7,597 – $12,423 · median $10,512	4 plans
713	TRANSURETHRAL PROSTATECTOMY WITH CC/MCC	$9,709 – $15,876 · median $13,434	4 plans
714	TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC	$7,376 – $12,061 · median $10,206	4 plans
715	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC	$13,548 – $22,153 · median $18,745	4 plans
716	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC	$9,539 – $15,599 · median $13,199	4 plans
717	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC	$11,734 – $19,187 · median $16,235	4 plans
718	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC	$8,870 – $14,505 · median $12,274	4 plans
722	MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC	$11,311 – $18,496 · median $15,650	4 plans
723	MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC	$7,822 – $12,791 · median $10,823	4 plans
724	MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC	$5,275 – $8,626 · median $7,299	4 plans
725	BENIGN PROSTATIC HYPERTROPHY WITH MCC	$7,966 – $13,026 · median $11,022	4 plans
726	BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC	$5,622 – $9,193 · median $7,778	4 plans
727	INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC	$9,602 – $15,701 · median $13,285	4 plans
728	INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC	$6,088 – $9,956 · median $8,424	4 plans
729	OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC	$7,383 – $12,073 · median $10,215	4 plans
730	OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC	$5,360 – $8,765 · median $7,417	4 plans
734	PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC	$12,986 – $21,236 · median $17,969	4 plans
735	PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC	$8,883 – $14,526 · median $12,291	4 plans
736	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC	$20,542 – $33,591 · median $28,423	4 plans
737	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC	$12,623 – $20,642 · median $17,466	4 plans
738	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC	$9,526 – $15,578 · median $13,181	4 plans
739	UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC	$20,585 – $33,662 · median $28,483	4 plans
740	UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC	$11,311 – $18,495 · median $15,650	4 plans
744	D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC	$12,563 – $20,544 · median $17,383	4 plans
745	D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC	$7,795 – $12,747 · median $10,786	4 plans
746	VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC	$10,931 – $17,875 · median $15,125	4 plans
747	VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC	$6,342 – $10,371 · median $8,775	4 plans
748	FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES	$9,102 – $14,883 · median $12,593	4 plans
749	OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC	$15,275 – $24,978 · median $21,136	4 plans
750	OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	$9,565 – $15,640 · median $13,234	4 plans
754	MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC	$11,478 – $18,770 · median $15,882	4 plans
755	MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC	$7,535 – $12,321 · median $10,426	4 plans
756	MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC	$6,869 – $11,233 · median $9,505	4 plans
757	INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC	$9,335 – $15,265 · median $12,916	4 plans
758	INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC	$6,966 – $11,391 · median $9,638	4 plans
759	INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC	$5,316 – $8,693 · median $7,356	4 plans
760	MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC	$7,115 – $11,635 · median $9,845	4 plans
761	MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC	$4,829 – $7,897 · median $6,682	4 plans
768	VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C	$7,450 – $12,183 · median $10,309	4 plans
769	POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES	$10,684 – $17,470 · median $14,783	4 plans
770	ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY	$7,090 – $11,594 · median $9,810	4 plans
776	POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES	$5,270 – $8,617 · median $7,291	4 plans
779	ABORTION WITHOUT D&C	$6,246 – $10,213 · median $8,642	4 plans
783	CESAREAN SECTION WITH STERILIZATION WITH MCC	$14,687 – $24,016 · median $20,321	4 plans
784	CESAREAN SECTION WITH STERILIZATION WITH CC	$7,390 – $12,085 · median $10,225	4 plans
785	CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC	$6,855 – $11,210 · median $9,485	4 plans
786	CESAREAN SECTION WITHOUT STERILIZATION WITH MCC	$10,473 – $17,126 · median $14,491	4 plans
787	CESAREAN SECTION WITHOUT STERILIZATION WITH CC	$7,687 – $12,570 · median $10,636	4 plans
788	CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC	$6,860 – $11,218 · median $9,492	4 plans
789	NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY	$11,272 – $18,432 · median $15,596	4 plans
790	EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE	$32,933 – $53,853 · median $45,568	4 plans
791	PREMATURITY WITH MAJOR PROBLEMS	$23,076 – $37,735 · median $31,929	4 plans
792	PREMATURITY WITHOUT MAJOR PROBLEMS	$14,656 – $23,966 · median $20,279	4 plans
793	FULL TERM NEONATE WITH MAJOR PROBLEMS	$23,655 – $38,681 · median $32,730	4 plans
794	NEONATE WITH OTHER SIGNIFICANT PROBLEMS	$9,565 – $15,641 · median $13,235	4 plans
795	NORMAL NEWBORN	$2,890 – $4,726 · median $3,999	4 plans
796	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC	$7,949 – $12,999 · median $10,999	4 plans
797	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC	$7,078 – $11,574 · median $9,793	4 plans
798	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC	$6,851 – $11,204 · median $9,480	4 plans
799	SPLENIC PROCEDURES WITH MCC	$25,534 – $41,754 · median $35,330	4 plans
800	SPLENIC PROCEDURES WITH CC	$16,540 – $27,047 · median $22,886	4 plans
801	SPLENIC PROCEDURES WITHOUT CC/MCC	$11,830 – $19,344 · median $16,368	4 plans
802	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC	$22,684 – $37,094 · median $31,387	4 plans
803	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC	$11,568 – $18,917 · median $16,007	4 plans
804	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC	$8,938 – $14,615 · median $12,367	4 plans
805	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC	$7,490 – $12,248 · median $10,364	4 plans
806	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC	$5,789 – $9,466 · median $8,010	4 plans
807	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC	$5,372 – $8,784 · median $7,433	4 plans
808	MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC	$13,394 – $21,902 · median $18,532	4 plans
809	MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC	$8,467 – $13,845 · median $11,715	4 plans
810	MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC	$7,320 – $11,969 · median $10,128	4 plans
811	RED BLOOD CELL DISORDERS WITH MCC	$9,191 – $15,029 · median $12,717	4 plans
812	RED BLOOD CELL DISORDERS WITHOUT MCC	$6,648 – $10,871 · median $9,198	4 plans
813	COAGULATION DISORDERS	$9,823 – $16,064 · median $13,592	4 plans
814	RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC	$12,969 – $21,207 · median $17,945	4 plans
815	RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC	$7,149 – $11,690 · median $9,892	4 plans
816	RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC	$5,151 – $8,423 · median $7,127	4 plans
817	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC	$13,779 – $22,532 · median $19,066	4 plans
818	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC	$7,909 – $12,932 · median $10,943	4 plans
819	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC	$6,343 – $10,372 · median $8,777	4 plans
820	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC	$32,522 – $53,180 · median $44,998	4 plans
821	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC	$13,554 – $22,164 · median $18,755	4 plans
822	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC	$8,143 – $13,315 · median $11,267	4 plans
823	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC	$25,826 – $42,232 · median $35,735	4 plans
824	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC	$13,696 – $22,395 · median $18,950	4 plans
825	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC	$8,903 – $14,559 · median $12,319	4 plans
826	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC	$26,313 – $43,027 · median $36,408	4 plans
827	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC	$13,934 – $22,785 · median $19,280	4 plans
828	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC	$10,757 – $17,590 · median $14,884	4 plans
829	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC	$18,374 – $30,045 · median $25,423	4 plans
830	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC	$9,717 – $15,890 · median $13,445	4 plans
831	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC	$8,135 – $13,303 · median $11,256	4 plans
832	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC	$5,620 – $9,189 · median $7,776	4 plans
833	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC	$4,580 – $7,490 · median $6,338	4 plans
834	ACUTE LEUKEMIA WITH MCC	$30,561 – $49,973 · median $42,285	4 plans
835	ACUTE LEUKEMIA WITH CC	$12,755 – $20,858 · median $17,649	4 plans
836	ACUTE LEUKEMIA WITHOUT CC/MCC	$8,224 – $13,448 · median $11,379	4 plans
837	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC	$26,975 – $44,109 · median $37,323	4 plans
838	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT	$12,764 – $20,871 · median $17,660	4 plans
839	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC	$9,398 – $15,367 · median $13,003	4 plans
840	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC	$18,766 – $30,686 · median $25,965	4 plans
841	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC	$10,378 – $16,971 · median $14,360	4 plans
842	LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC	$7,130 – $11,659 · median $9,866	4 plans
843	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC	$12,279 – $20,079 · median $16,990	4 plans
844	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC	$8,213 – $13,430 · median $11,364	4 plans
845	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC	$6,300 – $10,301 · median $8,716	4 plans
846	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC	$15,406 – $25,191 · median $21,316	4 plans
847	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC	$8,688 – $14,207 · median $12,021	4 plans
848	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC	$6,288 – $10,282 · median $8,701	4 plans
849	RADIOTHERAPY	$16,018 – $26,192 · median $22,163	4 plans
850	ACUTE LEUKEMIA WITH OTHER PROCEDURES	$47,139 – $77,083 · median $65,224	4 plans
853	INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC	$27,677 – $45,258 · median $38,295	4 plans
854	INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC	$12,296 – $20,107 · median $17,014	4 plans
855	INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC	$9,676 – $15,823 · median $13,389	4 plans
856	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC	$25,638 – $41,923 · median $35,473	4 plans
857	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC	$13,047 – $21,334 · median $18,052	4 plans
858	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC	$9,131 – $14,931 · median $12,634	4 plans
862	POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC	$11,384 – $18,616 · median $15,752	4 plans
863	POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC	$7,065 – $11,553 · median $9,775	4 plans
864	FEVER AND INFLAMMATORY CONDITIONS	$6,488 – $10,610 · median $8,978	4 plans
865	VIRAL ILLNESS WITH MCC	$9,682 – $15,833 · median $13,397	4 plans
866	VIRAL ILLNESS WITHOUT MCC	$6,394 – $10,455 · median $8,847	4 plans
867	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC	$12,794 – $20,921 · median $17,702	4 plans
868	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC	$7,238 – $11,837 · median $10,016	4 plans
869	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC	$5,662 – $9,259 · median $7,834	4 plans
870	SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS	$37,998 – $62,135 · median $52,576	4 plans
871	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC	$12,006 – $19,632 · median $16,612	4 plans
872	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC	$7,198 – $11,770 · median $9,959	4 plans
876	O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS	$22,061 – $36,074 · median $30,525	4 plans
880	ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION	$6,868 – $11,230 · median $9,502	4 plans
881	DEPRESSIVE NEUROSES	$6,767 – $11,065 · median $9,363	4 plans
882	NEUROSES EXCEPT DEPRESSIVE	$7,462 – $12,202 · median $10,325	4 plans
883	DISORDERS OF PERSONALITY AND IMPULSE CONTROL	$12,130 – $19,835 · median $16,784	4 plans
884	ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY	$10,261 – $16,779 · median $14,197	4 plans
885	PSYCHOSES	$9,151 – $14,964 · median $12,662	4 plans
886	BEHAVIORAL AND DEVELOPMENTAL DISORDERS	$12,700 – $20,768 · median $17,573	4 plans
887	OTHER MENTAL DISORDER DIAGNOSES	$7,447 – $12,177 · median $10,304	4 plans
894	ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA	$5,072 – $8,294 · median $7,018	4 plans
895	ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY	$9,250 – $15,125 · median $12,798	4 plans
896	ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC	$10,973 – $17,943 · median $15,183	4 plans
897	ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC	$6,463 – $10,568 · median $8,942	4 plans
901	WOUND DEBRIDEMENTS FOR INJURIES WITH MCC	$23,796 – $38,912 · median $32,925	4 plans
902	WOUND DEBRIDEMENTS FOR INJURIES WITH CC	$11,859 – $19,392 · median $16,409	4 plans
903	WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC	$7,963 – $13,021 · median $11,018	4 plans
904	SKIN GRAFTS FOR INJURIES WITH CC/MCC	$21,058 – $34,434 · median $29,136	4 plans
905	SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC	$9,604 – $15,705 · median $13,289	4 plans
906	HAND PROCEDURES FOR INJURIES	$12,120 – $19,818 · median $16,769	4 plans
907	OTHER O.R. PROCEDURES FOR INJURIES WITH MCC	$21,927 – $35,856 · median $30,339	4 plans
908	OTHER O.R. PROCEDURES FOR INJURIES WITH CC	$12,281 – $20,083 · median $16,993	4 plans
909	OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC	$8,711 – $14,245 · median $12,054	4 plans
913	TRAUMATIC INJURY WITH MCC	$10,395 – $16,998 · median $14,383	4 plans
914	TRAUMATIC INJURY WITHOUT MCC	$6,477 – $10,591 · median $8,962	4 plans
915	ALLERGIC REACTIONS WITH MCC	$10,641 – $17,400 · median $14,723	4 plans
916	ALLERGIC REACTIONS WITHOUT MCC	$5,330 – $8,716 · median $7,375	4 plans
917	POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC	$10,049 – $16,432 · median $13,904	4 plans
918	POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC	$6,328 – $10,348 · median $8,756	4 plans
919	COMPLICATIONS OF TREATMENT WITH MCC	$11,421 – $18,676 · median $15,803	4 plans
920	COMPLICATIONS OF TREATMENT WITH CC	$7,088 – $11,590 · median $9,807	4 plans
921	COMPLICATIONS OF TREATMENT WITHOUT CC/MCC	$5,446 – $8,905 · median $7,535	4 plans
922	OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC	$10,996 – $17,980 · median $15,214	4 plans
923	OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC	$7,168 – $11,722 · median $9,919	4 plans
927	EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT	$113,521 – $185,632 · median $157,073	4 plans
928	FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC	$39,363 – $64,367 · median $54,464	4 plans
929	FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC	$18,692 – $30,565 · median $25,863	4 plans
933	EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT	$22,214 – $36,325 · median $30,737	4 plans
934	FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY	$13,408 – $21,925 · median $18,552	4 plans
935	NON-EXTENSIVE BURNS	$12,620 – $20,637 · median $17,462	4 plans
939	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC	$20,824 – $34,052 · median $28,814	4 plans
940	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC	$14,069 – $23,005 · median $19,466	4 plans
941	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC	$12,451 – $20,361 · median $17,228	4 plans
945	REHABILITATION WITH CC/MCC	$9,945 – $16,263 · median $13,761	4 plans
946	REHABILITATION WITHOUT CC/MCC	$7,844 – $12,826 · median $10,853	4 plans
947	SIGNS AND SYMPTOMS WITH MCC	$8,485 – $13,875 · median $11,740	4 plans
948	SIGNS AND SYMPTOMS WITHOUT MCC	$6,032 – $9,864 · median $8,347	4 plans
949	AFTERCARE WITH CC/MCC	$8,068 – $13,193 · median $11,163	4 plans
950	AFTERCARE WITHOUT CC/MCC	$5,128 – $8,386 · median $7,096	4 plans
951	OTHER FACTORS INFLUENCING HEALTH STATUS	$4,753 – $7,773 · median $6,577	4 plans
955	CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA	$37,053 – $60,590 · median $51,268	4 plans
956	LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA	$21,528 – $35,203 · median $29,787	4 plans
957	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC	$41,702 – $68,192 · median $57,701	4 plans
958	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC	$23,886 – $39,060 · median $33,050	4 plans
959	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC	$17,245 – $28,199 · median $23,860	4 plans
963	OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC	$16,145 – $26,400 · median $22,338	4 plans
964	OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC	$9,862 – $16,126 · median $13,645	4 plans
965	OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC	$6,765 – $11,062 · median $9,360	4 plans
969	HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC	$33,863 – $55,374 · median $46,855	4 plans
970	HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC	$15,640 – $25,575 · median $21,641	4 plans
974	HIV WITH MAJOR RELATED CONDITION WITH MCC	$16,941 – $27,702 · median $23,440	4 plans
975	HIV WITH MAJOR RELATED CONDITION WITH CC	$8,619 – $14,094 · median $11,925	4 plans
976	HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC	$6,567 – $10,738 · median $9,086	4 plans
977	HIV WITH OR WITHOUT OTHER RELATED CONDITION	$8,633 – $14,117 · median $11,945	4 plans
981	EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC	$26,386 – $43,147 · median $36,509	4 plans
982	EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC	$14,705 – $24,045 · median $20,346	4 plans
983	EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC	$10,810 – $17,678 · median $14,958	4 plans
987	NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC	$19,778 – $32,341 · median $27,365	4 plans
988	NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC	$10,442 – $17,075 · median $14,448	4 plans
989	NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC	$8,118 – $13,274 · median $11,232	4 plans

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